csbi-m for young military personnel

Conditions: Alcohol Abuse; Tobacco Dependence; Substance Abuse

Summary: the goal of this project is to test the efficacy of a computer-facilitated screening and brief intervention system adapted for military use (csbi-m) in reducing substance use among 18- to 25-yr-old u.s. navy and u.s. marine corps personnel (usn/usmcs). the aims and hypotheses of this project are to: 1)test the effects of csbi-m on any alcohol use. hypothesis: among 18- to 25-yr-old usn/usmcs coming for routine health screenings, those receiving csbi-m will have lower rates of any alcohol use at follow-ups compared to tau. 2) test the effects of csbi-m separately as a preventive, early therapeutic, and risk-reduction intervention. hypotheses: (a) among 18- to 25-yr-old non-drinking usn/usmcs (negative history of past-12-months drinking at baseline), those receiving csbi-m will have lower rates of drinking initiation and heavy episodic drinking (hed, a.k.a. "binge" drinking). (b) among 18- to 25-yr-old drinking usn/usmcs, those receiving csbi-m will have higher rates of drinking cessation, reduced intensity of drinking (e.g., past-3-months drinking days, hed, and driving after drinking or riding with a drinking driver.(3) test the effects of csbi-m on tobacco use; explore its effects on other drug use. (4) assess potential moderators (e.g., age, gender, race/ethnicity, substance use history +/-, parent/sibling/peer substance use), mediators (e.g., patient to provider connectedness,17 perceived harmfulness of alcohol and drug use), and explore csbi-m's mechanism of action. hypotheses: among 12- to 18-yr-old patients coming for routine care, those receiving c-asbi will have 1) lower rates of any alcohol use, of drinking initiation and riding with a driver who has been drinking, and 2) higher rates of drinking cessation, reduced intensity of drinking, heavy episodic drinking and driving after drinking or riding with a driver who has been drinking.

the goal of this project is to test the efficacy of a computer-facilitated screening and brief intervention system adapted for military use (csbi-m) in reducing substance use among 18- to 25-yr-old u.s. navy and u.s. marine corps personnel (usn/usmcs). the aims and hypotheses of this project are to: 1)test the effects of csbi-m on any alcohol use. hypothesis: among 18- to 25-yr-old usn/usmcs coming for routine health screenings, those receiving csbi-m will have lower rates of any alcohol use at 3-, 6-, 9- and 12-month follow-ups than treatment as usual (tau). 2) test the effects of csbi-m separately as a preventive, early therapeutic, and risk-reduction intervention. hypotheses: (a) among 18- to 25-yr-old non-drinking usn/usmcs (negative history of past-12-months drinking at baseline), those receiving csbi-m will have lower rates of drinking initiation and heavy episodic drinking (hed, a.k.a. "binge" drinking) at 3-, 6-, 9- and 12-month follow-ups than tau. (b) among 18- to 25-yr-old drinking usn/usmcs (positive history of past-12-months drinking at baseline), those receiving csbi-m will have higher rates of drinking cessation, reduced intensity of drinking (e.g., past-3-months drinking days, hed, and driving after drinking or riding with a drinking driver at 3-, 6-, 9- and 12-month follow-ups than tau. (3) test the effects of csbi-m on tobacco use; explore its effects on other drug use. (4) assess potential moderators (e.g., age, gender, race/ethnicity, substance use history +/-, parent/sibling/peer substance use), mediators (e.g., patient to provider connectedness,17 perceived harmfulness of alcohol and drug use), and explore csbi-m's mechanism of action. hypotheses: among 12- to 18-yr-old patients coming for routine care, those receiving c-asbi will have 1) lower rates of any alcohol use, of drinking initiation and riding with a driver who has been drinking, and 2) higher rates of drinking cessation, reduced intensity of drinking, heavy episodic drinking and driving after drinking or riding with a driver who has been drinking, at 3-, 6-, and 12-month follow-ups compared to treatment as usual (tau).

Eligibility criteria:
inclusion criteria: * navy personnel coming for a routine health screening * have email address and internet access for 12-month study period * provide informed consent exclusion criteria: * unable to read or understand english at a 6th grade level * unavailable for 2 of the 4 follow-ups * medically or emotionally unstable at the time of the visit

Keywords: alcohol abuse tobacco dependence substance abuse sbirt